Dr Ronald Kennedy, MD - Medicare Thoracic Surgery in Jackson, MS

Dr Ronald Kennedy, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice St. Dominic Medical Associates Llc and his current practice location is 971 Lakeland Dr Ste 657, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-2780.

Dr Ronald Kennedy is licensed to practice in Mississippi (license number 08369) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689725202.

Contact Information

Dr Ronald Kennedy, MD
971 Lakeland Dr Ste 657,
Jackson, MS 39216-4608
(601) 200-2780
(601) 200-2788



Physician's Profile

Full NameDr Ronald Kennedy
GenderMale
SpecialityThoracic Surgery
Experience46 Years
Location971 Lakeland Dr Ste 657, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ronald Kennedy attended and graduated from University Of Mississippi School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1689725202
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 06/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436210499
  • Enrollment ID: I20081209000448

Medical Identifiers

Medical identifiers for Dr Ronald Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689725202NPI-NPPES
0116208MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 326463 (Louisiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 08369 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168154

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ronald Kennedy allows following entities to bill medicare on his behalf.
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ronald Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ronald Kennedy, MD
Po Box 23666,
Jackson, MS 39225-3666

Ph: (601) 200-4749
Dr Ronald Kennedy, MD
971 Lakeland Dr Ste 657,
Jackson, MS 39216-4608

Ph: (601) 200-2780

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jackson, MS

Dr. Richard P Cochran, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 406-640-4933    
Dr. Lawrence Lee Creswell, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5170    Fax: 601-984-5198
Dr. Craig Vorpe Adams, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 501 Marshall St Ste 104, Jackson, MS 39202
Phone: 601-969-6404    Fax: 601-973-4541
Dr. Ali Dodge-khatami, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Division Of Pediatric Cardiac Surgery, Jackson, MS 39216
Phone: 601-984-4693    
Dr. Charles S O'mara, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5105    Fax: 601-815-3322
Dr. Albert Michael Koury, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 501 Marshall St, Suite 100, Jackson, MS 39202
Phone: 601-969-7467    Fax: 601-948-1417
Mr. Fidel Fabian Sendra, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1860 Chadwick Dr Ste 256, Jackson, MS 39204
Phone: 601-376-1394    

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